How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $645.65 | Facility | None | $275.42 | $288.40 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $295.12 | Professional | None (both parts) | $275.42 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $239.88 Typical High $245.47 | Professional | 26 · Professional part | $229.09 | $239.88 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $47.86 | $47.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $1,412.54 | Facility | None | $398.11 | $660.69 | $1,412.54 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $257.04 | $389.05 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $436.52 Typical High $954.99 | Facility | None | $89.13 | $436.52 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $537.03 | Professional | None (both parts) | $316.23 | $436.52 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $331.13 Typical High $380.19 | Professional | 26 · Professional part | $257.04 | $331.13 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $208.93 | Professional | TC · Technical part | $48.98 | $69.18 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $630.96 | Professional | None | $269.15 | $380.19 | $630.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $316.23 Typical High $676.08 | Professional | 26 · Professional part | $229.09 | $316.23 | $676.08 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $645.65 | Professional | TC · Technical part | $43.65 | $63.10 | $645.65 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $338.84 | $338.84 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $831.76 | Facility | None | $724.44 | $724.44 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $263.03 | $354.81 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $288.40 Typical High $467.74 | Professional | 26 · Professional part | $229.09 | $288.40 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $53.70 Typical High $109.65 | Professional | TC · Technical part | $32.36 | $53.70 | $109.65 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $144.54 Typical High $147.91 | Professional | 52 · Reduced service | $138.04 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $58.88 | Professional | 53 · Discontinued | $54.95 | $57.54 | $58.88 |
Where Illinois sits
The same service costs 3.3 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 17th of 51
$389
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.